The nurse is performing an assessment on the patient who is in bilateral Buck traction. Which ...

The nurse is performing an assessment on the patient who is in bilateral Buck traction. Which finding indicates the need to reposition the patient?
 
  a. The patient's heels are not touching the surface of the mattress.
  b. The elastic bandages need to be re-wrapped.
  c. The patient's feet are against the foot-board.
  d. The weights are hanging free.

Question 2

The nurse notes that the HbA1c level of an assigned patient demonstrated a drop from 9.4 to 5.4. What can the nurse infer from these findings?
 
  a. The patient's blood glucose control has improved over the last several months.
  b. The patient has been less compliant with the prescribed treatment regimen.
  c. The patient is experiencing a reduction in insulin sensitivity.
  d. The patient has less need for insulin.

Question 3

The nurse is performing the Aldrete scoring system. Which factor(s) must be assessed? (Select all that apply.)
 
  a. Activity
  b. Circulation
  c. Presence of wound drainage
  d. Level of consciousness
  e. O2 saturation

Question 4

The home health nurse assesses the patient with Parkinson disease who just started taking carbidopa-levodopa. The nurse should be alert for which side effect(s)? (Select all that apply.)
 
  a. Urinary retention
  b. Pruritis
  c. Diaphoresis
  d. Orthostatic hypotension
  e. Pink urine

Question 5

The patient in a long arm cast (from below the shoulder to the wrist, with a 90-degree elbow flexion) complains of a burning sensation over the elbow. The nurse's initial intervention should be:
 
  a. Elevate the casted arm on pillows.
  b. Check to see if the cast is properly sup-ported.
  c. Notify the charge nurse of developing pressure ulcer.
  d. Cut a window in the cast.

Question 6

A patient with an immune deficiency disorder has been admitted to the medical unit due to a current infection and weight loss of 12 of his body weight. Which nutritional intervention is most appropriate for this patient?
 
  a. Fat
  b. Vitamin C
  c. Vitamin B12
  d. Protein

Question 7

The nurse is performing a neurological assessment on a patient who was just transferred from the PACU following abdominal surgery. Which action(s) correctly demonstrate(s) knowledge of a neurological assessment? (Select all that apply.)
 
  a. Asking the patient to spell his name.
  b. Asking the patient to identify where he is.
  c. Noting if the patient can identify the sen-sation of touch.
  d. Asking the patient to move his arms and legs.
  e. Assessing the patient's pupils for response to light.

Question 8

Which layer of the heart contains muscle fibers that contract to pump blood?
 
  a. Myocardium
  b. Endocardium
  c. Epicardium
  d. Pericardium

Question 9

Which reason best explains why diabetics are prone to infection?
 
  a. High glucose levels provide an environ-ment conducive to bacterial growth.
  b. Atherosclerotic vascular changes decrease blood supply to tissues.
  c. Diabetics display abnormal phagocyte function.
  d. Diabetics display decreased leukocyte function.